December Springfield Healthy Cells 2012

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SPRINGFIELD/DECATUR

area

Promoting Healthier Living in Your Community • Physical • Emotional • Nutritional

December 2012

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HealthyCells

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www.healthycellsmagazine.com

Prairie Pharmacy

and Compounding Discover the Rewards of Choosing Prairie pg. 14

Elderly Risk in Extreme Cold pg. 6 How Illinois Found the “Missing Piece” in the Senior Care Puzzle pg. 18

Scoliosis pg. 22

M A G A Z I N E


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healthcare purchasing tips

What to Consider When Choosing a Medical Supply Company By Chad Hughes, Vono Medical Supplies

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ood medical care often requires medical supplies, even if the product used is as simple as cotton swabs. These supplies come from medical supply companies. It seem as though there are a lot more options then there use to be, both in your local community and online. A person who needs supplies can make a better decision about what company to use by looking at several factors. Services Look at the range of services each company provides. Some larger companies may only do deliveries once a week or once every other week for an area. Some smaller companies may have a limited selection of items. If you are a person needing multiple supplies, it is probably much more convenient to get them all at one place. Staffing Are there trained specialized employees to handle your specific issues? You want to find a place that has individuals that can help you with your needs. A job of the supplier is to give you assistance so you do not have to return to your physician. You may need a Respiratory Therapist, a Certified Mastectomy Fitter, a Lymphedema Specialist, etc. You want a home care company that can take care of your needs. Experience Experience can be a telling factor in a good medical supply company. Look into how long the company has been in business, how long the employees have worked there, and how long they have been carrying the supplies you need. Online vs. Local Companies The online community has created a presence in the medical supply community. For those people who lack insurance benefits, the online community is a great way to get a lower cost for your supplies. Online retailers cut out the cost of operations with a lower staff and warehouse size. Make sure to not look at just the product price alone. Examine the overall expense. With shipping, handling, and the hassle of returning items, you may actually end up paying more. Local companies will allow you the opportunity to meet and see from where you are getting your supplies. While cost will always be a factor in life, you do not want to choose a medical supply company just because they are cheaper. Storefront companies generally have a reputation and strong community involvement that you cannot get from an online retailer. If your equipment malfunctions or a problem arises, they will be able to fix it on-site. This is much easier than an online service. It all comes down to asking questions. You have the right to choose any medical supply company you want. Think about the

things that are applicable to your needs. What emergency services do they have? I travel; what services can they provide to me while I am away? What are their hours of operation? Are they open on weekends? The true measure of a successful company is how happy their clients are. Make sure to find the company that will make you happy. For more information, contact Chad Hughes at Vono Medical Supplies at 217-522-2403. December 2012 — Springfield / Decatur — ­ Healthy Cells Magazine — Page 3


D E CEM BER

2012 Volume 3, Issue 12

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Healthcare Purchasing Tips: What to Consider When Choosing a Medical Supply Company

This Month’s Cover Story:

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Toxins and Obesity: Eliminating Toxins May Be the Key to Weight Loss

Discover the Rewards of Choosing Prairie

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Physical: Elderly at Risk in Extreme Cold

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Emotional: That Holiday Feeling

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Nutritional: Game On/Paleo: Recipes and Recommendations

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Laser Therapy: The Wave of the Future in Pain Management

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Tailoring Plan of Care: The Nuts and Bolts of a Physical Therapy Appointment

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Senior Living: How Illinois Found the “Missing Piece” in the Senior Care Puzzle

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Disease Without Cure: Why Alzheimer’s?

20

Holiday Safety Checklist: Safety: The Best Gift to Give This Season

22

Scoliosis: Correcting the Curve

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Improving Social Skills: The Autism Program of Illinois

25

Pet Health: Heartworm Disease

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Independent Home Living: Apartment Home Living for Active Seniors

Prairie Pharmacy and Compounding

page 14

For information about this publication, contact Krista Jiroutek at 217-720-5254 or krista@healthycellsmagazine.com

Healthy Cells Magazine is a division of: 1711 W. Detweiller Dr., Peoria, IL 61615 Ph: 309-681-4418 Fax: 309-691-2187 info@limelightlink.com • www.healthycellsmagazine.com Healthy Cells Magazine is intended to heighten awareness of health and fitness information and does not suggest diagnosis or treatment. This information is not a substitute for medical attention. See your healthcare professional for medical advice and treatment. The opinions, statements, and claims expressed by the columnists, advertisers, and contributors to Healthy Cells Magazine are not necessarily those of the editors or publisher. Healthy Cells Magazine is available FREE in high traffic locations throughout the Greater Springfield and Decatur area, including major grocery stores, hospitals, physicians’ offices, and health clubs. Healthy Cells Magazine is published monthly and welcomes contributions pertaining to healthier living. Limelight Communications, Inc. assumes no responsibility for their publication or return. Solicitations for articles shall pertain to physical, emotional, and nutritional health only. Mission: The objective of Healthy Cells Magazine is to promote a stronger health-conscious community by means of offering education and support through the cooperative efforts among esteemed health and fitness professionals in the Springfield/Decatur Illinois area.


toxins and obesity

Eliminating Toxins May Be the Key to Weight Loss By Georgia Davis, MD, Georgia Davis & Associates

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e all know that losing weight can be difficult at times. Those that struggle to lose weight may want to consider that a possible reason might be due to an underlying injury to the brain, the immune system, or other organ systems. These injuries can be a result of exposure to common environmental toxins like indoor mold. Some molds leave behind harmful “mycotoxins” long after the moldy wood or drywall has been replaced and long after the mold itself has been eliminated. Molds can grow in homes (old or new), schools, offices—anyplace—and yet be invisible and odorless. Impaired Clearance While most people can clear the toxins to which they are exposed, approximately 25 percent of the population is genetically compromised in their ability to do this. This percentage appears to be even higher in persons who have followed diet and exercise recommendations but have failed to lose weight. Genetics Genetics play an important role for persons possessing certain genetic sequences or “haplotypes” and they are more likely to suffer damage as a result of exposure to toxins. Specific genetic codes render a person especially susceptible to biotoxins including indoor molds, bites from brown recluse spiders or infected ticks (Lyme disease), bee stings, or bacterial “endotoxins”. Environmental toxins such as insecticides, herbicides, phthalates (plastic chemicals), and heavy metal toxins like lead, mercury, aluminum, and cadmium can also be problematic. Toxic exposure in this population can raise leptin levels, hormones that help with regulating body weight, which can result in obesity, insulin resistance, and diabetes. A build-up of biotoxins can interfere with oxygen delivery to the tissues, causing muscle cramps, poor exercise tolerance, and extreme fatigue. These toxins also activate the immune system, creating an inflammatory response that becomes persistent and ultimately harmful if unrecognized and untreated. Chronic Inflammatory Response Syndrome (CIRS) In addition to weight gain, symptoms of CIRS include nasal congestion, shortness of breath, cough, abdominal complaints, diarrhea, constipation or irritable bowel, frequent nosebleeds, headaches/migraines, joint pains, muscle aches/cramps, night sweats, sensitivity to light, tearing or redness, blurred vision, excessive thirst, frequent urination, cognitive impairment, weakness/fatigue, hormonal imbalances, mood swings, skin sensitivity, numbness/ tingling sensations, rashes/redness of the skin and sensitivity to “static shocks.”

An inexpensive on-line screening test The “VCS” or Visual Contrast Screen can demonstrate reduced blood flow in the tiny capillaries of three critical areas of the eye injured by toxins: the retina, the neural rim and the lamina cribosa. The retina, a vital part of the visual system, is affected by toxins absorbed, ingested, or inhaled into the body. Although traditional eye exams will not detect nerve injury due to biotoxins, the VCS can. While not 100 percent accurate, the VCS is one of the most reliable and sensitive indicators of toxic injury to the brain’s visual system. Why is that important? The visual system lies in close proximity to the hypothalamus located within the brain. Damage to the hypothalamus can result in changes in cognitive function like impaired attention and learning, loss of memory, problem solving difficulties, or difficulties with sleep. Furthermore, damage to the hypothalamus can prevent the immune system from functioning properly resulting in frequent infections, chronic gastrointestinal problems, asthma, and allergies. Neurotransmitters or brain chemicals that communicate information throughout our bodies can also be affected resulting in anxiety, depression, obsessionality, and mood swings. It can result in hormonal imbalances underlying PMS, menstrual irregularities, fatigue and weight gain as well as sexual dysfunction, loss of sexual interest, or sexual drive. Removal of Biotoxins increases success at weight loss Fortunately damage of this type may be reversible with early identification and appropriate treatment. All of the blood work needed for a diagnostic evaluation is available through local laboratories that commonly accept insurance. When the cause of toxic injury is eliminated and the visual system recovers, the VCS normalizes and the weight starts coming off. The VCS and two screening questionnaires are available at: http://www.chronicneurotoxins.com for $15.00. Fill out the questionnaire online. Based upon questionnaire answers, results for a positive or negative test for toxins will be immediately reported. Persons with positive results to the VCS online test are encouraged to call the office of Dr. Georgia Davis, M.D. at 217-787-9540 for additional detailed information regarding positive results and treatments for mold exposures. Dr. Davis is a board-certified integrative physician specializing in the diagnosis and treatment of complex neuropsychoimmunologic and endocrine conditions. Her practice offers compassionate, comprehensive, biomedical treatment for refractory illnesses. Georgia Davis & Associates is located at 1112 Rickard Road in Springfield, IL. December 2012 — Springfield / Decatur — ­ Healthy Cells Magazine — Page 5


physical

Elderly at Risk in Extreme Cold Company Advises Family Caregivers to Keep a Close Eye on Older Adults during Frigid Temperatures By Laura Carmody, Springfield Owner, Home Instead Senior Care

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he extreme temperatures and snow of winter can be particularly dangerous for older adults. The elderly and those with heart disease are at special risk, according to the American Heart Association. As people age, their ability to maintain a normal internal body temperature often decreases. Because elderly people seem to be relatively insensitive to moderately cold conditions, they can suffer hyPage 6 — Healthy Cells Magazine — Springfield / Decatur — ­ December 2012

pothermia without knowing they’re in danger, the Heart Association reports. (www.americanheart.org/presenter.jhtml?identifier=4570). Hypothermia means the body temperature has fallen below normal. It occurs when your body can’t produce enough energy to keep the internal body temperature warm enough and the condition can kill. Heart failure causes most deaths in hypothermia, the American Heart Association notes.


The following tips will help you safeguard a senior loved one or neighbor. • F ill the cupboard. Help your senior stock the staples and groceries they’ll need in the event of a large snowstorm or cold spell. • M aximize energy. Encourage your senior to make sure they have adequate insulation and to check and clean the fireplace and furnace. Replace furnace filters monthly. • M inimize drafts. Help your senior fill old socks with sand and use them in drafty windowsills and door jams. Weather-strip around windows and doors. Keep doors closed to unused rooms and close curtains at night. • S tay toasty. Advise your senior to add an extra blanket to the bed and warm the bed in advance with a hot water bottle. Never use electric blankets. A senior may not be able to operate the controls if the temperature needs to be adjusted in the night. • D ress warmly. A senior’s circulation decreases with age. Encourage your senior to wear an extra sweater or sweatshirt, and sweat pants during the winter. • Monitor the thermostat. Check with your senior to make sure that they’re keeping the thermostat above 65 degrees during the cold weather. Older adults are particularly susceptible to hypothermia, which can develop over a few days and weeks even in the mildly cool indoor temperatures of 60 to 65 degrees. • Beware of budget problems. Make sure your senior isn’t trying to save money by keeping the thermostat down. Many communities have energy assistance programs for low- and fixed-income households.

•A void slips. Make sure your senior has made arrangements to have driveways and walkways cleaned. Salt and sand should be available to speed melting. • Stay in touch. Check on your neighbor or loved one frequently during periods of cold and snowy weather. • Build a network. You can’t always be around to help your elderly loved one. Call on neighbors, family and church members to help. Or contact your local Home Instead Senior Care office. For more information about the cold, visit the National Weather Service Web site at http://www.noaa.gov and the Federal Emergency Management Agency Web site at www.fema.gov. Or, to learn more about Home Instead Senior Care, log on to www.homeinstead.com About Home Instead Senior Care Home Instead Senior Care in Springfield can be reached at 217-527-1200. Founded in 1994 in Omaha, the Home Instead Senior Care ® network is the world’s largest provider of nonmedical in-home care services for seniors. Home Instead Senior Care offices employ 65,000+ CAREGiversSM who provide more than 40 million hours of client service each year through activities including companionship, meal preparation, medication reminders, light housekeeping, errands and shopping. At Home Instead Senior Care, it is relationship before task, while continuing to provide superior quality service, that enhances the lives of seniors everywhere.

in post-hospital care Complex Medical Care • Intensive Rehabilitation

View patient experiences on your smartphone. Or visit: youtube.com/hcrmanorcare

Our patients come to us directly from the hospital after surgery, illness or injury. The key to their recovery is choosing the right team to help them meet their goals. Along with complex skilled nursing care, our dynamic team of caregivers deliver intensive physical, occupational and speech therapies to help patients reach their goal of returning home safely and independently.

Heartland Health Care Center – Decatur 444 W. Harrison Avenue Decatur, IL 62526 217.877.7333 • www.hcr-manorcare.com December 2012 — Springfield / Decatur — ­ Healthy Cells Magazine — Page 7


emotional

That Holiday Feeling By Dr. Bev Matthews, Central Illinois Neuropsychological Services

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is the season: shopping, family dinners, Christmas parties at the office, church activities and more. But, is it just too much? Do you feel overwhelmed? What are your priorities and how are you sticking to them? The added expectations this time of year can bring out the best or worst in people. Extra activity, extra spending, extra preparations can lead to extra stress. It is important to distinguish between holiday stress and/or depression and anxiety. Symptoms of depression include symptoms that are at least two weeks in duration with either depressed mood or loss of interest or pleasure and at least one of the following: feels sad and tearful, lack of interest or pleasure in most activities, significant weight loss Page 8 — Healthy Cells Magazine — Springfield / Decatur — ­ December 2012

or gain, change in sleep pattern, increase or decrease in energy nearly everyday, fatigue nearly everyday, feelings of worthlessness or inappropriate guilt, trouble with thinking and concentration, indecisiveness, or recurrent thoughts of death.1 The symptoms are not a part of the manic depressive or mixed episode of bipolar. The symptoms cause significant change in ability to function and are not better accounted for by grief. Other medical conditions that mimic major depression also need to be ruled out. Symptoms of anxiety can be immobilizing for the person expected to add to their activity level during the holidays. Excessive anxiety can interfere with socialization, work place productivity, and relationships. The diagnostic criteria for Generalized Anxiety


Disorder includes feelings of apprehensive expectation that occurs more days than not for at least six months about more than one event or situation. You find it difficult to control the worry. Three or more of the symptoms need to be present; feeling keyed up or on edge, easily fatigued, mind going blank, irritability, muscle tension and sleep disturbance such as trouble falling asleep, staying asleep, or unsatisfying sleep. Panic attacks need to be ruled out as does social phobia or other types of mood disorders. The symptoms cause noticeable impairment in social, occupational, or other important areas of functioning. Medical causation should also be ruled out.2 Stress-related symptoms are similar to Major Depression and Generalized Anxiety Disorder. We may need to think of those symptoms the same as but to a lesser degree. For example, an occasional change in appetite that does not interfere with weight gain or loss. You may have trouble sleeping but not every night and you can pinpoint the reason; too much caffeine, too much stimulation before going to bed, or the computer screen or television screen up and running in the room you sleep in. If you feel sentimental this time of year, it may be that you miss those who have passed, but it is not depression, it is a feeling of loss and it leaves you once you remember the good times with that person. So what is a person to do about the added stressors of the holidays? Stop, take a few deep breaths, and set your priorities. Pace yourself, keeping the same pace as you do the rest of the year. If you have dinner with the family at home five nights out of the week, keep that schedule during the holidays. Learn to say no gracefully. Limit the responsibilities during the holidays. Volunteering is notable, respectable, and good for all of us but be reason-

able with your personal time and space. Ask for help if you are in charge of a major event. Divide the tasks and delegate. The more the merrier and the extra help makes the load less burdensome. Worried about finances? Give of yourself. Make IOU’s and hand them out with the gift of yourself after the holidays as in January or February. Many elderly people would enjoy nothing more than your presence and a plate of homemade cookies after the first of the year. Take good care of yourself by exercising, limiting alcohol use, and keeping a normal schedule. If you have a chronic medical condition, remember to stay within the limits of your diet. Reward yourself with a special activity for staying on the healthy plan. All things in moderation is an old adage that fits perfectly into the holiday schedule. If you feel that your situation is more than the usual holiday stress, consider the symptoms above as a sign to seek out professional help. A visit to a licensed clinical psychologist may be warranted. Talking to an objective person who is trained in changes in the brain and how that effects people may be the best gift you could give yourself this time of year. Further questions about stress, depression, anxiety, or other related disorders may be directed to Dr. Bev Matthews, at Central Illinois Neuropsychological Services at 217-876-7929. Dr. Matthews is a Licensed Clinical Psychologist, has Certification in Clinical Neuropsychology, and is a Licensed Clinical Professional Counselor. Source: 1. DSM-IV (page 168) 2. DSM-IV (page 222)

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December 2012 — Springfield / Decatur — ­ Healthy Cells Magazine — Page 9


nutritional

Game On/Paleo

Recipes and Recommendations By Karen Geninatti, Ace Certified Personal Trainer, Geninatti Gym

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hat is the Paleo diet? Paleolithic diet or caveman diet is based on the presumed ancient diet of plants and animals during the Paleolithic era. Today, the diet consists of fish, grass-fed pasture raised meat, fruit, nuts, roots and fungi. It excludes grains, legumes, dairy products, refined salt, refined sugar and processed oils. It’s really not so much about having recipes, as it is just thinking about what foods you should have and putting them together. Variety is so important. Be creative. Experiment. For example, instead of just making vegetable soup, make a meat, vegetable, and fruit soup! Put a bunch of foods that you know you should eat in a crock-pot. I used browned ground turkey breast, turnips, apples, pears, pepper, sweet potatoes, and carrots. Another idea, I put turkey breast cutlets in a 9x12-baking pan sprayed with Pam. Then I sliced apples and sweet potatoes over Page 10 — Healthy Cells Magazine — Springfield / Decatur — ­ December 2012

the top. In one dish you have your protein, fruit, and vegetable! There are endless ways you could make this dish. Eating well is a big part of the equation when it comes to the “Total Health” Package. A well-balanced and consistent workout program makes a healthy, fit body “possible” but a good Nutrition program makes it “probable.” Do not be fooled into thinking you can “out exercise” a bad diet. Do not fall into the trap of thinking “Oh, I just did a hard workout, I can have a DQ Blizzard.” It just does not work that way. Eating well is just not for your “outward appearance.” All of your bodily functions that happen on the inside of your body run so much more smoothly and efficiently when they are being fueled by good nutrition. Keep in mind, also, that every function in your body requires water to run smoothly.


Game On/Paleo Fruity Pumpkin Tuna Ingredients: 4 cans very low sodium tuna, packed in water 1-15 oz. can pumpkin puree (not pumpkin pie filling) 4 pieces any fruit such as: plums, peaches, pears, apples (You could use 4 pieces of the same fruit or 4 different ones) 4 packets Stevia Directions: Put pumpkin in large bowl with Stevia. Mix, add the tuna. Cut the fruit up into the tuna pumpkin mixture. Divide into 4 servings, enjoy! Servings: 4 Per Serving: Calories 250 (Depending on fruit) Carbohydrates 20 grams (depending on fruit) Protein 32 grams Sodium 40 mg

To have more energy, feel great, and look great: • E xercise most days of the week • E at well 90 percent of the time • Stay hydrated • Get quality rest • Think positive happy thoughts For more information, please contact Geninatti Gym and Fitness at 217-825-7957 or visit us at www.karengonline.com.

Great way to get your protein, veggie, and fruit all in one bowl!

Your Central Illinois Home Health Provider

Services: • Visiting Nurse: RN, LPN • Certified Wound ostomy Nurse • Physical Therapy • Occuptional Therapy • Speech Therapy • Home Health Aide • Medical Licensed Social Worker • Medical Equipment • Podiatry

For those who wish to remain in the comfort of their home, Advanced Healthcare Services, LLC can provide the necessay services and support in your own home.

Phone: 217-726-6956 or Fax: 217-726-7082 advancedhealthcareservices.org • Private Insurance • Workman’s Comp • Medicare Care will begin within 48 hours after a physician order is received. No copay or deductible for Medicare patients. December 2012 — Springfield / Decatur — ­ Healthy Cells Magazine — Page 11


laser therapy

The Wave of the Future in Pain Management

Dr. John Sigle

By John Sigle, DPM, FACFAS

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hen Brian heard the pop in his groin area during heavy weight lifting at the gym, he knew immediately that something was wrong. A chronic tennis elbow problem caused John so much pain and irritation that he considered quitting the men’s senior tennis league. Planter fasciitis was so problematic for Joe that he had a difficult time giving his son a soccer workout and even had to stop his personal training sessions. Jennifer’s skiing accident during a weekend getaway vacation resulted in a rotator cuff injury that was painful and made it nearly impossible to turn the steering wheel of her car. When Hunter received a deep bone bruise during a high school football game, he experienced considerable pain and wondered if his season was over. Years of repetitive keyboarding at work, took its toll on Chuck’s elbow, wrist, and fingers causing severe pain and numbness. Lisa suffered debilitating back and hip pain since high school and she had a difficult time getting out of bed. Page 12 — Healthy Cells Magazine — Springfield / Decatur — ­ December 2012

Thanks to John Sigle, DPM, and Jarred Kennedy, DC, the Illinois Laser Center in Springfield, Illinois, is the first facility in Central Illinois to offer the next generation MLS Laser Therapy. Now, Brian, John, Joe, Jennifer, Hunter, Chuck, Lisa, and many others are experiencing extraordinary results because of this cutting edge technology and specialized care. “It is pretty amazing therapy,” said Dr. Kennedy. “We call it the magic wand. I was able to use a pain therapy laser in chiropractic school and I am very excited to be able to offer this new and dramatic treatment option to our patients. Many patients, who haven’t had physical therapy for years, are able to get instant relief of pain. If you want an alternative therapy that is fast, effective, and affordable, this is wonderful option.” According to Dr. Sigle, “Many of the NFL, NBA, MLB, and Division I college teams are using this technology to reduce pain and inflammation and to kick start the healing process for their players. We have been


using this technology at our clinic for nearly a year now and the results have been super.” “Now I can use the laser in conjunction with other chiropractic protocols,” said Dr. Kennedy. “The laser also has dual simultaneous waves, which work in a synergistic fashion thus giving me the results I like to see, and what my patients are looking for. We have seen a reduction in tendonitis, joint swelling, bulging discs, rotator cuff tears, carpal tunnel, and other shoulder and elbow indications. The laser reduces nerve impingement and increases range of motion in joints with previous surgery. The results are pretty phenomenal and eight out of ten patients have dramatic results.” “After trying casts and braces, and enduring a series of cortisone injections in his ankle, one of my patients was at a dead end. I started him on the MLS laser treatments and within the three weeks of therapy and rest, the pain was gone,” said Dr. Sigle. According to Dr. Sigle, “We are achieving great results with athletes especially sprains, muscle strains, contusions and bruises, muscle tears, plantar fasciitis, ankle arthrosis, tendonitis, and heel pain. We have also used it to reduce post-operative pain and swelling. We recently had an opportunity to treat a high school football player who was able to resume play after having a serious deep bone bruise. After a couple of treatments, he was able to play pain free and received Player of the Game. After a couple of additional treatments, he continued to excel and made the All-Conference team. It is not hard to understand why this laser is considered to be a secret weapon by some professional teams like the Dallas Cowboys, Oakland Raiders, Tennessee Titans, Houston Texans, Milwaukee Bucks, and Cleveland Cavaliers, just to name a few.” Prior to purchasing this technology, we explored all the options and discovered that this particular laser offers a real breakthrough in pain relief and restoration of mobility. The dual wave MLS Laser relieves pain and reduces inflammation by increasing blood flow to the treated area. The laser sends photons of light deep into the damaged tissue and stimulates the damaged cells at the mitochondrial level to produce ATP and excrete cytokines and histamine. Basically, it kick starts the healing process in tendons, ligaments, and muscles. They can repair themselves up to 30 percent faster. The MLS Laser Therapy is being used by chiropractors, podiatrists, physical therapists, pain specialists, team athletic trainers and orthopedic physicians. It has proven to be effective on a wide range of physical ailments including tendon and ligament injuries, soft tissue injuries, muscle strains and tears, sore muscles and joints, back pain, neurological pain, chronic wounds, general pain, musculoskeletal disorders, pre-and postsurgical treatment, and anti-inflammation applications. “We are pleased to offer the patients an alternative to injections or other invasive treatments. This is an alternative for patients who are not achieving what they want with more traditional modalities,” exclaimed Dr. Sigle. “When patients ask me what they feel during the treatment,” said Dr. Kennedy, “I tell them, you will not feel anything. There is no warmth, no needles jabbing you, and no itching sensation. The treatments are short, and the relief is often felt by the time the patient gets home.” When asked about the results from this treatment, Dr. Sigle states that, “Thousands of patients across the country have tried this laser with results that are positive. Usually, patients see significant results the same day they receive treatment. Pain is definitely less and they leave with more mobility. Patients come in with acute swelling and tendonitis around the ankle joint or foot, and after one treatment I have been able to significantly reduce their symptoms. After three to four sessions, I am able to get most patients resolved. Patients have been surprised and very happy.” When asked how many treatments will a person need, Dr. Kennedy states, “We are successfully treating high school athletes with an acute ankle sprain that want to get back to sport sooner and it looks like after three treatments, 90 percent of the pain is gone; whereas it might have taken another two or three weeks with normal therapy. That’s a lifetime

to a 16-year-old who is about to miss half the football season. If we are seeing improvement within the first three weeks, we recommend continuing treatment. For an acute condition, maybe five treatments will do the trick. Following that, it’s reasonable to expect that a patient will need maintenance treatments down the road, but that’s the initial protocol.” When asked if there is a possibility that the treatment will not work, Dr. Kennedy is candid to claim that, “There’s always that chance and that nothing works for everything. We never promise anything to anybody but the results we have seen so far have been positive for over 80 percent of the patients.” According to Dr. Sigle, “MLS Laser treatment has meant relief from pain without medication or surgery for the vast majority of cases. We are the only medical clinic from Chicago to Alton that offers this technology. It is non-invasive. It has no side effects and people are getting better. In a sense, this has truly enhanced my practice. In the past I would have had to say I am sorry that there is nothing else I can offer you. Now we have something to offer our patients and can manage their pain in an entirely new way. This is great new technology and has enhanced the way we approach pain management. Now we are in a very strong position to restore, rejuvenate, and heal.” To receive additional information or to schedule an appointment, call the Illinois Laser Center at 217-670-2160. The Illinois Laser Center is located at 2921 Montvale Drive, Springfield, Illinois 62704. Dr. Sigle Biography Dr. Sigle is the founder and owner of the Foot & Ankle Center of Illinois and the Illinois Laser Center, both located at 2921 Montvale Drive in Springfield, Illinois. Dr. Sigle received a Bachelor of Science degree from the University of Illinois, Urbana-Champaign, Illinois, and a doctorate in Podiatric Medicine from Dr. William M. Scholl College of Podiatric Medicine, Chicago, Illinois. He completed a three-year podiatric and surgical residency program at Botsford General Hospital, Farmington Hills, Michigan. During his residency, he participated in the Baja Project providing surgical treatment for children with disabilities at the Mexicali Red Cross Hospital and pediatric surgical missions to Tegucigalpa, Honduras, Central America, and the San Felipe Hospital. He also completed a Pediatric Orthopedic Surgery rotation at Children’s National Medical Center in Washington, D.C. Dr. Sigle is board-certified through the American Board of Podiatric Surgery in Foot Surgery and has advanced certification from the American Board of Podiatric Surgery in Reconstructive/Rearfoot and Ankle Surgery. He is currently on the physician’s panel for Memorial Medical Center’s Wound Healing Center and a Clinical Assistant Professor at SIU HealthCare, Division of Orthopaedics.

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217-672-6096 1 0 3 5 S . MA I N S T R E E T D E C AT U R , I L 6 2 5 2 1

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December 2012 — Springfield / Decatur — ­ Healthy Cells Magazine — Page 13


feature story

Prairie Pharmacy and Compounding Discover the Rewards of Choosing Prairie By Sara Browning

Prairie Pharmacy’s professional team to personally assist customers.

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rairie Pharmacy and Compounding in Decatur, Illinois combines traditional prescription services with customized medications to fit the special needs of men, women, children, and pets. They give patients the opportunity to experience a personal relationship with their pharmacist and offers the very best in healthcare in cooperation with patients’ physicians. Prairie is known for specializing in customized medications for such specific medical needs as bio-identical hormone replacement to restore patients’ hormones, pain management, and hospice care, just to name a few. Ann Rohde, owner of Prairie, opened the business in the Spring of 2010 after realizing the need for a local pharmacy. “I had just started my journey through menopause and was working Page 14 — Healthy Cells Magazine — Springfield / Decatur — ­ December 2012

to balance my hormones and had to decide on a compounding pharmacy to mail my customized medication to me,” she says. “I realized if I had to search outside of Macon County to get my products made, other patients would too. My husband and I decided to create a local pharmacy where patients could receive one-on-one personal attention.” Ann says the special sense of connecting with and supporting one another is very present at Prairie. “We have been known to go out to some of our patients’ cars simply to hug and encourage them while their spouse is getting their medicine refills. We believe this special relationship is also a vital part of the healing process.” Mike Hammel, RPh, a friend, and knowledgeable pharmacist with 36 years of compounding experience, is key to the success


of the business. Lori, the full-time pharmacy technician, is personable and very efficient in every aspect of accessing information regarding patient medication, arranging for special orders, and filling scripts. Says Ann: “Together Mike and Lori make the perfect team to serve our customers! The pharmacy is actively addressing the vital needs of many patients in Decatur and all over Central Illinois— even as far away as St. Louis and Chicago—due to our competitive prices and personal service.” Why Compounding? Unique to Prairie is its compounding service, allowing the pharmacy to custom tailor medications to fit the specific health needs of different patients for special situations. The demand for custommade prescription medication products continues to grow because manufacturers cannot fulfill the individual needs of patients. Patients are becoming more educated understanding that one pill does not fill all of their needs and that their body’s chemistry is unique. “Our patients are excited and appreciate that we can compound medications to their specific needs while they wait instead of paying for shipping and waiting for it to arrive from other sources. We take the time to personally explain how and when to use their meds,” says Ann. According to Ann, informed clients request compounded medications to eliminate the additives, food coloring, preservatives, and gluten from their standard medications. Such products could ultimately complicate patients’ health conditions. Compounding medications produce a medicine “tailor-made” specifically for each patient, often based on testing as in the case of hormones. “My staff provides a very personal compounding service,” says Ann. “Customers are ecstatic when they are greeted by Mike and Lori and have the opportunity to ask questions in person rather than by phone. Mike and Lori listen to customers’ health needs and are often able to assist them with suggestions for a special compound to be sent to their physician for approval or with an over-the-counter pharmaceutical grade supplement.” Specialized Compounding Services Prairie’s specialized compounding services include hormone replacement in capsule or creams, dentistry compounds and specialized mouthwashes, pediatric compounding, pain management, veterinary special pet needs, podiatry and foot care, sports and orthopedic medicine, dermatology and skin medicine, and hospice and terminal care. The pharmacy offers Diagos Tech hormone testing, evaluation, and consultation for peri-menopause and post menopause patients, PMS, men’s andropause conditions, adrenal fatigue, intestinal issues, irritable bowel issues, Gluten and food allergies and depression. Hormone evaluation and management has become vital to an individual’s long-term health, according to Ann. The aging process affects clear thinking and mood, physical strength and ability, cholesterol, weight management, heart health, and sex. “Because we are living much longer than we used to, we need to keep our hormones ‘tuned up’ so we can function with a quality of health to enjoy our later years,” Ann says. “Hormone management benefits everyone.” Prairie also works together with customers and their pediatrician or family physician in pediatric compounding to develop specialized solutions for children that traditional pharmaceutical companies cannot create. When it comes to medication, children often dislike the taste or texture and have difficulty swallowing solid dosage forms. At Prairie, Mike custom compounds oral medica-

tions into solutions that are pleasantly flavored to make it easier for the child to take the medication. “These creative formulations lead to improved health outcomes as they are more likely to improve a child’s medication compliance and minimize spillage or waste during administration,” says Ann. Flavored medications, acne, diaper rash, eczema, psoriasis, head lice, nausea, and scabies are just a few pediatric conditions treated at Prairie Pharmacy and Compounding. In addition to pediatric compounding, the pharmacy also specializes in pain management. Medications such as antidepressants, anticonvulsants, anti-arrhythmics, anesthetics and anti-viral agents that possess pain-relieving properties may alter the sensation of pain when combined with various agents. Compounded transdermal creams and gels can relieve chronic pain when applied to the targeted area. Compounded medications are used for such pain conditions as back and joint pain, carpal tunnel syn-

Lori, Prairie’s Pharmacy Tech is ready to serve you. December 2012 — Springfield / Decatur — ­ Healthy Cells Magazine — Page 15


feature story

(continued) drome, fibromyalgia, peripheral neuropathy, migraines, muscle spasms, tendonitis, to name a few. Other Personalized Services From veterinary medicine to podiatry, sports medicine, dermatology, and hospice services, Prairie provides compounding services on multiple levels to meet patients’ specific needs. Animals, like patients, are unique and frequently require specific dosages of medications that are not available on the market. Thanks to custom medication compounding, pet owners can give their furry friends the correct dosage in a form that is best for their pet. “We make capsules for horses, dogs, and cats. Our staff adds meaty flavorings to liquid medications, which make the medications easier for animals to swallow,” says Ann. “Creams that are absorbed into the skin are much easier for fussy animals, and their owners do not have to wrestle with them in order to get them to swallow pills,” says Ann with a smile. Prairie Pharmacy and Compounding also specializes in working with patients’ podiatrists to treat disorders of the lower leg, ankle, or foot. “Our most popular compound is absorbed through the sole of the foot soothing painful peripheral neuropathy, allowing patients to walk without pain,” says Mike. Compounded medications treat such conditions as warts, nail fungus, heel spurs, plantar fasciitis, diabetic neuropathy, poor circulation, and swelling to name a few conditions. Compounding services in sports and orthopedic medicine benefit athletes and coaches that often suffer from inflammation, discomfort and muscle spasms as the result of sports injuries. In the case of a sports injury, Mike works to customize medications using topical creams and gels. These medications contain specific ingredients in the best vehicle to most effectively provide the appropriate drug to the targeted area. In addition to sports injuries, Prairie Pharmacy and Compounding compounds medications for skin conditions, working with patients’ dermatologists, family physicians, aestheticians, and plastic surgeons to improve skin health with individually customized creams, lotions, gels, or oral dosing forms. “Dermatologists love our Salicylic acid topical for acne, scabies treatments, psoriasis conditions, and special shampoo for scalp conditions,” says Mike. Skin cancers, eczema, rosacea, alopecia, fungal nails, warts, and body rashes are just a few conditions the staff at Prairie treats. Lastly, the staff at Prairie Pharmacy and Compounding works together with patient’s physicians to help hospice patients feel comfortable and calm, whether they are at home, in a long-term healthcare facility, or are admitted to the hospital. “We have Comfort Kits for the final stages of life,” says Ann. Alleviating suffering and improving comfort for hospice patients are the staff’s top priorities at Prairie. Mike, Ann, and Lori strongly believe that the relationship between a patient’s physician and his or her pharmacy is key to maintaining wellness and good health. Ann and her staff are committed to excellent care and service.

Pharmacist, Mike Hammel is making personalized capsules for a patient. Page 16 — Healthy Cells Magazine — Springfield / Decatur — ­ December 2012

For more information on Prairie Pharmacy and Compounding, visit www.PrairieRx.com or call 217-876-PILL (7455). They are located at 2801 N. Main Street in Decatur.


tailoring plan of care

The Nuts and Bolts of a Physical Therapy Appointment By Art Fossen, PT, Accelerated Rehabilitation Centers

gressive static stretch. These are performed on any peripheral joints, or the spine through various treatment techniques. A standard PT appointment could include treatment in various combinations of these exercises when indicated and appropriate. The job of the therapist is to work directly with each patient to tailor the plan of care to the patient’s specific needs and goals. Activities will vary from day to day, with the ideal result being satisfactory return to work or quality of life. Art Fossen, PT, has been a therapist for 19 years and with Accelerated Rehabilitation Centers for the last 10. He is currently the Facility Manager for both the Clarkston and Oakland Township, MI, locations.

Don’t delay, Get Your Hormones tested today! IF YOU ARE NOT TESTING, YOU ARE GUESSING.

PRAIRIE PHARMACY & COMPOUNDING 2801 N. Main St. 217-876-PILL (7455) www.PrairieRx.com

217-864-2700

3798 E. Fulton Ave • www.DrRohde.com

hot flashes

weight gain

night sweats

In HORMONE HELL?

moody

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here is a lot of confusion surrounding the billing in physical therapy (PT) for certain therapeutic activities and exercise. Coverage is based on the patient’s diagnosis and condition, with certain services reimbursed only if determined to be medically necessary. In general, most insurance companies consider physical therapy medically necessary when the care is prescribed by a doctor in order to significantly improve, develop, or restore physical functions lost or impaired as a result of a disease, injury, or surgical procedure. The plan of care and the duration of the care must also be carefully determined. Since every exercise looks like an actual exercise, the specific need for it may not be immediately apparent. There are four major categories of exercise: • Therapeutic exercise is mainly geared toward flexibility and simple strengthening and endurance activity. These exercises include the use of a recumbent bike, biceps curls, or any type of weight-lifting equipment. These are usually performed with a two-dimensional approach. • Neuromuscular re-education can be a strengthening exercise, but it is performed on a higher level. Extra senses—such as vestibular, visual, proprioceptive, and sensory—are needed to perform the task. Some neuromuscular activities include balance tasks and any exercise with visual feedback. • Functional activity is an exercise designed around a functional activity performed in daily activity at home or at work. These can be geared toward activities as simple as dressing one’s self, or higherlevel activities involving pushing, pulling, reaching, etc. Functional activities can be very specific, and are tailored to the individual patient. • Manual therapy is actual hands-on manipulative care on joints, muscles, and tendons. This can range from soft tissue mobilization to joint mobilization. Some soft tissue techniques include myofacial release, ASTYM, Graston, and active release technique. Joint mobilization can be done in various forms such as high velocity or a less ag-

insomnia

For a free injury, screen call our local Decatur office at 217-233-0030. Accelerated Rehabilitation Centers - Putting Patients First!

Specializing in Functional Medicine and Detoxification.

Dr. Rohde EVALUATES & Mike Hammel, Pharmacist FORMULATES your personalized compounded script. December 2012 — Springfield / Decatur — ­ Healthy Cells Magazine — Page 17


senior living

How Illinois Found the “Missing Piece” in the Senior Care Puzzle By Daryl Lunsford, CRT, RPSGT

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he term “Golden Years” has transitioned over time from a concept of a happy, healthy retirement to a cynical joke about how unrealistic those expectations are for people without resources. Happily, though, this is a story that is now coming fullcircle, as resources and new programs are once again brightening the prospects for older Americans to truly live their Golden Years. Nowhere is that more true than in Illinois, where a pioneering initiative known as Supportive Living has made the leap from “good idea” to a “thriving reality.” Although Supportive Living sounds like it would mean the same thing as Assisted Living (and they are similar in many ways), there are important differences in Supportive Living that has opened a wealth of services to thousands of older Illinois residents that previously did not qualify for them. Assisted living emerged in the early 1980s as a response to some sort of “middle ground” needed to exist between dependent care (such as that provided by nursing homes) and independent living (which is essentially living without any assistance at all). It was recognized that if such a level of care could be developed, a great number of the dignity, privacy, and inappropriate-care issues that higher functioning residents experienced in a nursing home environment would be resolved in the process. At the request of her mother, Dr. Keren Brown Wilson took on the challenge of developing the framework for what would become assisted living. Dr. Brown Wilson recognized that the institutional nature of most nursing homes was at the core of many of these issues. Semiprivate rooms with no way to lock the doors, communal showers, and shared bathrooms all contributed to the scarcity of dignity and privacy. The first assisted living facilities had these institutional features “designed out”, and instead provided private apartments that gave residents a much greater sense of living in their own private residence. Eventually, the facilities offered around-the-clock staffing and assistance with residents’ individual needs (such as assistance with medications and care related to incontinence). The advent of these assisted living facilities provided an environment much closer to the traditional comforts of home, and with that, a significant upturn in the emotional well being of the individual resident. These facilities became wildly popular, and a great number of for-profit corporations began opening assisted living facilities to satisfy the growing demand. One estimate indicates that over 40,000 such facilities have opened since the first one began operating in Portland, Oregon in 1981. Assisted living seemed to be the answer for many residents, but unfortunately, financial restrictions kept it from being the answer for everyone. In fact, at first, the only people using assisted living were those people who could afford to pay for their care privately. For many other people, this was not a practical option, thus assisted living care was out of reach. Most states do allow low-income seniors to apply for a waiver program that re-allocates Medicaid benefits to help offset the cost of assisted living care. What did Illinois do differently? Illinois basically expanded on the idea of a waiver, which allows payment for services that Page 18 — Healthy Cells Magazine — Springfield / Decatur — ­ December 2012

Medicaid does not normally cover. At a supportive living residence, the resident is still responsible for paying for room and board, but services such as personal care, homemaking, laundry, medication supervision, social activities, recreation, and 24-hour staff to meet residents’ scheduled and unscheduled needs are under this enhanced Medicaid coverage. Without this additional coverage, many of these items would be added expenses paid directly by the resident if he or she lived in an assisted living facility. For those seniors who cannot afford assisted living, supported living facilities offers them financial benefits and savings. What is also important is the richer life experience enjoyed by residents in supportive living. The increased sense of independence, safety, and community provided by these facilities are valuable assets by any measure. In that sense, they really do serve as building blocks in what the residents truly think of as their Golden Years. Timberlake Supportive Living is the right answer for those seeking some assistance with activities of daily life. To learn more about Timberlake’s Supported Living service and amenities or to schedule a free tour, call Judy Claussen, Timberlake’s Supportive Living Sales Manager, at 217-321-2100. Visit our website at timberlakesl.com.


Disease Without Cure

Why Alzheimer’s? Submitted by Alzeheimer’s Association

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n the Darien Gap, the South American jungle where the only roads are dirt-logging trails, people aren’t worried about Alzheimer’s Disease. They don’t line up for half a mile waiting for a memory test the way they wait for Ivermectin for intestinal parasites or scabies medication. Dentists who pull a hundred rotten teeth a day and worry about how they might be able to get fluoride in the water supply aren’t concerned with the dementia risks of their patients. They don’t consider the costs and benefits of DDT spraying to stem the tide of memory problems the way they weigh the risks around Malaria and Dengue fever. The same is true in the United States where there is no Alzheimer’s season or outbreaks of unheard-of strains of the disease from Asia or other countries. There are no booths set up in shopping malls to distribute shots and disease awareness. There are no survivors marching at the capitol to agitate for better research or laws to make things easier for families dealing with the disease. There is no cure, and there are no survivors, and the sufferers often aren’t able to be their own advocates the way cancer patients and AIDS sufferers can. Dementia can rob a person of their memory and their personality, even if they are otherwise perfectly healthy. Often, I am asked, why would a young person get involved to advocate for Alzheimer’s? The majority of the community who is out in support of Alzheimer’s patients consists of family members who have dealt with the disease, or healthcare providers whose experience has brought them into contact with sufferers. Young people, healthy people, and people who don’t have a familial connection to Alzheimer’s may worry from time to time about the disease, but they may have no idea how common it is or what the risks are. I fall into this group, and only through a fluke of my education in Public Health did I uncover the community of Alzheimer’s sufferers and caregivers. Like heart disease, cancer, and other diseases that are most important in the United States now, Alzheimer’s is a disease that takes years to develop and becomes more common as people get older. The Alzheimer’s community will only grow as time passes and dementia becomes better recognized. The fact is, Alzheimer’s disease continues to be a disease without a cure, and it will become more common as people live longer. While medical science has conquered the most dangerous infectious diseases, lifestyle and degenerative diseases like Alzheimer’s are now part of the frontier of medicine and public health. It’s important for healthy people to know the signs and the risks and to get involved in the search for a treatment: Studies have shown that changes leading to Alzheimer’s may start as long as two decades before the symptoms of the disease appear. The Alzheimer’s Association provides information about the signs of Alzheimer’s on its website: www.Alz.org/illinois, and if you are curious or concerned, they operate a toll-free Helpline to answer questions and provide support: 1-800-272-3900.

Healthy Cells Ad - Donna Adams 2_Layout 1 10/12/11 4:11 PM Page 1

Have a disability and need a job? “My Success can be Your Success!”

drs.illinois.gov/success Printed by authority of the State of Illinois 10/11

December 2012 — Springfield / Decatur — ­ Healthy Cells Magazine — Page 19

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holiday safety checklist

Safety

The Best Gift to Give This Season By Julie Hale-Miller, COUNTRY® Financial

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s you hustle and bustle this season to find the right gifts, attend parties, decorate the house and prepare holiday treats and meals, don’t forget safety. A safe holiday season may be the best gift you give (or receive) this season. It could even have a life-impacting effect on you, your family and friends. By checking extension cords used with holiday lights for frays, you could avoid a devastating fire; by volunteering to be the designated driver at a party, you could prevent a serious roadway accident; or by doublechecking to ensure your house is locked, you could deter a robber from “shopping” for presents at your house. No one wants a tragedy to be the reason we remember this holiday season. We want to remember it for the special moments, gatherings with friends and family, traditions and good food. That said, I have compiled this holiday safety checklist. I hope it will help provide the gift of safety to you and those around you this season. • Check all extension cords and holiday lights for frays, loose connections or damaged plugs. Don’t overload extension cords. • Avoid using outdoor lights or lighted decorations inside; or indoor lights, lighted decorations and indoor extension cords outside. • Unplug or turn off all lighting decorations before going to bed or leaving the house. • Check to make sure smoke detectors and their batteries are working. (Smoke detectors also make great gifts!) • Be prepared by having an operable fire extinguisher readily available. (Fire extinguishers make great gifts, too!) • If you prefer a real tree, be sure to buy a fresh one. If the needles are falling off, the tree is too dry and should not be purchased. • Leave a fresh tree outside until you’re ready to decorate it. • Place the tree in a cool area of your home, away from heat sources or where it could get knocked over. • Keep flammable items away from fireplaces and temporary heaters. • Check and fill the water level of a fresh-cut tree daily. • Avoid leaving burning candles unattended. Keep them away from flammable materials, and make sure they are in an area where they won’t get knocked over. Page 20 — Healthy Cells Magazine — Springfield / Decatur — ­ December 2012

•V olunteer to be a designated driver at a holiday party. •M ake sure toxic holiday plants, such as holly and mistletoe, are out of reach of children and pets. •S tay alert while shopping and always walk confidently. •A void carrying large amounts of cash by paying for gifts with checks or credit cards. •U se the trunk of your car to keep purchases out of sight. •L ock doors and windows when leaving your house. Avoid leaving your drapes open where presents may be seen. • I f you’re going away for the holidays, unplug all unnecessary electrical items, such as table lamps, electric heaters, and small kitchen appliances. •M ake your house look lived-in if you are going to be away for an extended period. Use automatic timers for lights, ask a trusted friend or neighbor to occasionally park in the driveway, and stop delivery of mail and the newspaper. •A fter the holidays, don’t put out for garbage empty boxes, which advertise gifts received. Instead, break down boxes and put them in a recycle bin, trashcan, or a dumpster away from your home. For more information, please contact Julie Hale-Miller, COUNTRY® Financial, at 217-483-4355.


We Have A Winner! C

ongratulations Gabriela Gallina for being the winner of a new ElliptiGo cycle. The ElliptiGo combines the best of running, cycling and the elliptical trainer to deliver a low impact, high performance workout while enjoying the outdoors. Go to The Body Quest store at 3120 Montivale Dr., Suite B in Springfield, IL and learn from David or Jim how the fantastic EllipitiGo can help you achieve the workout that you desire. Thank you David Utinske (the owner of Body Quest) for helping in this promotion and making all of this possible.

217-787-9930 From L to R: Jim Wieties of the Body Quest Store; Winner: Gabriela Gallina; The Body Quest Store Owner: David Utinske

Today, orthopaedic surgeons are using stateof-the-art techniques to replace knees, hips, shoulders, ankles, elbows, even wrists – and patients of all ages are resuming active lifestyles again after years of frustration. For more on joint replacement, visit orthoinfo.org.

December 2012 — Springfield / Decatur — ­ Healthy Cells Magazine — Page 21


scoliosis

Correcting the Curve By Rachel Barness, Orthotic Resident, Comprehensive Prosthetics & Orthotics

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coliosis is a term you may have heard but, unless a friend or loved one is affected, you may not know much about it. Scoliosis is a lateral curvature of the spine of greater than 10 degrees with vertebral rotation, or a “twisting” that can occur at any level of the spine. Collectively, this causes a 3-dimensional malformation of the spine, which can lead to imbalance, postural problems, and health complications. Adolescent Idiopathic Scoliosis (AIS) is a type of scoliosis found in adolescents and has an unknown cause. Treatment of AIS includes observation, orthotic intervention (bracing), or surgical intervention depending on the severity of the scoliosis. AIS affects approximately two to three percent of adolescents, with only a fraction needing orthotic intervention. Girls are more likely to require a brace than boys. There are several different physical characteristics of AIS, including an asymmetry in shoulder height or waistline. There may be a trunk shift, or “decompensation”, where the child’s shoulders are shifted in relation to their hips. Asymmetric shoulder blades may be seen and an uneven “rib hump” can become visible when the child is bent over to touch their toes. Back pain has Page 22 — Healthy Cells Magazine — Springfield / Decatur — ­ December 2012

been associated with this form of scoliosis; however, it is not a clear indicator and may have no direct link to the spinal curvature. There are several factors that come into play when finding the optimal time for orthotic treatment. If the curve has progressed to a 25-40 degree angle and the patient has not reached skeletal maturity, the child is a candidate for a spinal orthosis. Most orthotic treatments require full-time wear and are used until skeletal maturity. There are several orthoses available for scoliosis including the Gomez Orthotic System, which makes use of CAD-CAM technology to create total contact orthoses that address all three planes of the curve. No matter the technique, the orthotic goals remain the same: to shift the spine to the central sacral line, to keep the curves within non-operative parameters, to maintain sagittal alignment, and to promote balance. Balance is the key to the orthotic management of AIS. With the use of the Gomez Orthotic System, we focus on the balance and alignment of the body in relation to the spine. This focus begins at the initial evaluation and is an ongoing and thorough process until the child has reached skeletal maturity. Photo-documentation, measurements


of the corrected position and CAD-CAM technology are combined to make a spinal orthosis that not only corrects the curve, but also corrects the twisting of the spine. Upon initial evaluation of the patient, the orthotist will gather a relevant medical history and examine the radiographs of the child’s spine. A series of photographs are taken to gather information on the physical presentation of the curves. The child’s spinal flexibility is also taken into consideration and measurements are recorded when the spine is in its most correctable position. After fabrication of the orthosis, an appointment is made for the child to be fit. Photographs are taken with the orthosis donned and a wearing schedule will also be discussed. The child is highly involved in the fitting process and is instructed to actively correct their posture while wearing their orthosis. This promotes the creation of balance in addition to what the orthosis provides. After receiving the orthosis the patient is asked to return for follow up appointments, ranging from two weeks initially to three months with time. These are important since it is necessary for the orthotist to track the curve’s correction and make any adjustments to make the orthosis more functional and comfortable. Utilizing an orthosis to treat scoliosis can be a scary and embarrassing idea to an adolescent; however, the spinal orthosis can be worn discretely underneath clothing and cannot be seen by others. The child may still participate in sports and other recreational activities while going through orthotic treatment. Catching the curve early is very important because the most correction can be done while the child is still growing. The progression of scoliosis can be prevented with proper orthotic management, preventing surgery in the shortterm as well as reducing the likelihood of long-term spinal issues.

“Treatment includes observation, orthotic intervention (bracing), or surgical intervention depending on the severity of the scoliosis.” Rachel Barness is an Orthotic Resident at Comprehensive Prosthetics & Orthotics, Inc. (CPO). CPO provides orthotic and prosthetic care to patients throughout Central Illinois. Their Springfield office is located at 2025 W. Iles St. B or 217-789-1450. Their Decatur office is located at 2950 N. Water St. Suite 240 or 217-619-0069. Their Jacksonville office can be reached at 217-883-4960. With unmatched patient care and dedicated professionals, CPO also houses an on-site fabrication department where custom orthoses and pros- theses are designed and created for each patient. CPO may also be reached by calling our toll free number at 888-676-2276. Visit the website at www.cpousa.com

December 2012 — Springfield / Decatur — ­ Healthy Cells Magazine — Page 23


improving social skills

The Autism Program of Illinois By Mark Schmidt

The Family and Community Resource Center at the TAP clinic provides a variety of books, educational materials, games and transition aids that may be checked out at no cost.

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he latest data from the Centers for Disease Control indicate that one in every 88 school age children may have an autism spectrum disorder (ASD). In Illinois, that means that more than 30,000 children have some form of autism. For boys, the numbers are more serious, with one in every 51 boys affected by an ASD. While autism currently has high visibility among parents, health care professionals, educators and policy-makers, that wasn’t always the case. However, in 2003 the Illinois General Assembly took action to create The Autism Program of Illinois (TAP). The Illinois Department of Human Services asked The Hope Institute for Children and Families to serve as the lead agency and fiscal agent for the fledgling program. Since that time, TAP has grown into the largest statewide network of autism resources and services in the United States. Hope partnered with universities and established human service providers across Illinois to create a system of care with 13 locations throughout the state, and more than 30 partners. For information on the entire TAP network, visit the web site: www.theautismprogram.org. In Central Illinois, the TAP clinic at The Hope Institute provides a variety of services to children with an ASD and their families. Screening, diagnosis, and new diagnosis counseling are, of Page 24 — Healthy Cells Magazine — Springfield / Decatur — ­ December 2012

course, at the heart of these services. However, according to Center Director, Julie Alderman, services do not stop there. “One of our most popular services has been the social skills groups we operate at the clinic,” Alderman said. “Autism can have a significant impact on a child’s socialization because some children with an ASD do not interpret normal social cues as quickly or as easily as other children. As a result, some children with Autism have difficulty making friends, sharing toys, or playing together. We have found that social skills groups can improve a child’s ability to interact well with others.” The Springfield clinic also provides counseling and other services, and partners with other community groups. Like each TAP center, the clinic has a Family and Community Resource Center, where a variety of educational materials, books, games, and transition aids can be checked out at no cost. The resource room is available to anyone involved with a child with autism, including parents, other family members, educators, health care professionals, or caregivers. The TAP clinic at The Hope Institute is located in Suite 1700 of Noll Medical Pavilion, 5220 South Sixth Street Frontage Road, Springfield, IL 62703. The center can be reached by phone at 217-525-8332.


pet health

Heartworm Disease

Have you heard the news? Submitted By Rachael Pearce, Laketown Animal Hospital

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eartworm disease is caused by mosquitoes that carry microscopic juvenile worms called Dirofilaria immitis. When an infected mosquito feeds on your pet, these small worms are deposited on to the surface where they penetrate the skin and enter the blood stream. Over the next six to seven months, they develop into adults. Adult heartworms can grow up to 12 inches in length, and reside in the right side of the heart and lungs.1

Symptoms Heartworm disease is a major health problem for dogs in the United States, despite the fact that it is easy to prevent. Symptoms of heartworm disease in your dog can include a persistent cough, unwillingness to exercise, fatigue after moderate activity, decreased appetite, and weight loss. Some dogs can be infected for years before symptoms occur. Cats can also contract heartworm disease, but are much less likely to become infected.1 Detection Heartworm disease can be detected through a blood test at your local veterinarian’s office; however, heartworms cannot be detected on a test until the worms have reached maturity, which is typically seven months of age. Furthermore, a blood test can only detect female worms. In cases such as these, the use of radiographs and ultrasound imaging can be helpful in diagnosis.1 Yearly testing is recommended by the American Animal Hospital Association and the American Heartworm Society. All dogs more than six months of age should be tested for heartworms prior to administering preventative. Testing is also recommended six months after a lapse in administration.1

Your pet can become infected with heartworms no matter the season, so keeping them on prevention year round is crucial. Help keep your pet healthy and happy by starting them on a heartworm prevention regimen today. For more information on heartworm disease, please visit www. laketownanimalhospital.com or contact Laketown Animal Hospital at 529-4211. You can also follow us on Facebook (www.facebook.com/ laketownanimalhospital) and Twitter (www.twitter.com/laketownanimal) Sources: 1. American Heartworm Society: www.heartwormsociety.org 2. www.drsfostersmith.com

Treatment Heartworm disease is treated with Immiticide, an arsenic-based drug. It is administered in the deep lumbar (back) muscles through a series of injections over a couple of months. Your pet’s activity must be limited while undergoing treatment as well. It can be very painful for the patient, and large breed dogs can cost over $1,500 to treat. Prevention Heartworm preventatives are highly effective when given properly and on a well-managed schedule. Prevention is very safe and affordable. The American Heartworm Society estimates that only 55 percent of dogs in the United States are currently on heartworm preventative.2 December 2012 — Springfield / Decatur — ­ Healthy Cells Magazine — Page 25


independent home living

Apartment Home Living for Active Seniors Submitted by The Reserve of Lakeview

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taying active and being connected to friends, family, and community are vitally important to the health and well being of all of us. This is especially true for seniors in our community. Independent apartment home living communities offer housing designed for independent seniors that desire the conveniences of community apartment home living. These communities offer a senior lifestyle filled with recreational, educational, and social opportunities. After one has made the decision to choose independent apartment home living, there are several things to consider, but the stress of home repairs, lawn maintenance, and real estate taxes can be forgotten. When researching the options in your community for apartment home living, there are several resources to check. Talking with friends and family, calling apartment home communities listed in the telephone book, on-line research, and the local senior center are all good places to start.

Beverly J. Matthews Licensed Clinical Psychologist

Take a Tour You will find each apartment home community has different age and income guidelines. Visit each site and take a complete tour. Were you greeted by friendly, helpful staff? During the tour, you will notice how well the building is maintained, especially in the common areas. Move-in ready apartments should meet all your expectations. Be sure to look out the windows and doors and consider the type of view offered. Carpets should be clean with no stains or tears. Walls, appliances, and fixtures should be spotless and all in good repair. Spacious walk-in closets definitely make access to clothes easier as we get older. Does it have a fully equipped kitchen (how about a dishwasher, garbage disposal, ect.) with plenty of cabinet and countertop space? Depending on your needs, walk-in showers would also make living easier. Amenities Things to look for: • Secure building: Security to keep public from walking in the building • Free utilities • Free Wi-Fi or computer center access • Laundry facility • Extra storage on-site • Elevator if multi-level building • Fitness Center • Beauty salon with reduced rates • Multi-purpose room with kitchenette for family events • Community Activities: Game night, movies and potlucks • Pet friendly: My pet is like family to me! Some communities are pet friendly.

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Central Illinois Neuropsychological 5130 Hickory Pt Frontage Rd Suite 260 Decatur, IL

Location As any realtor will tell you, it’s all about LOCATION, LOCATION, LOCATION!! The apartment home community should be close to shopping, restaurants, pharmacies, medical facilities, and banks. Look at the surrounding neighborhood for any security concerns and take note of the grounds, landscaping, and parking. Is it well-kept and is there ample parking and lighting? The convenience of city transportation is also something else to keep in mind.

Professional Counseling 1124 S 5th St. Springfield, IL

Page 26 — Healthy Cells Magazine — Springfield / Decatur — ­ December 2012

Independent living communities provide a wide variety of activities and social opportunities. Residents can pick and choose what activities interest them. New learning opportunities can lead to a rebirth for active adults during their retirement years. Seniors can explore volunteer opportunities and build friendships with people in the same phase of life. If you are an active adult who wants to remain busy, continue learning, and simply have fun during your retirement years, find an Independent Living facility near you today! For further information or to schedule a free tour, call Jackie Kapper, The Reserve at Lakeview’s Leasing Specialist, at 217-672-6096.


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